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Barroso A, Estevinho F, Hespanhol V, Teixeira E, Ramalho-Carvalho J, Araújo A. Management of infusion-related reactions in cancer therapy: strategies and challenges. ESMO Open 2024; 9:102922. [PMID: 38452439 PMCID: PMC10937241 DOI: 10.1016/j.esmoop.2024.102922] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2023] [Revised: 02/06/2024] [Accepted: 02/06/2024] [Indexed: 03/09/2024] Open
Abstract
Several anticancer therapies have the potential to cause infusion-related reactions (IRRs) in the form of adverse events that typically occur within minutes to hours after drug infusion. IRRs can range in severity from mild to severe anaphylaxis-like reactions. Careful monitoring at infusion initiation, prompt recognition, and appropriate clinical assessment of the IRR and its severity, followed by immediate management, are required to ensure patient safety and optimal outcomes. Lack of standardization in the prevention, management, and reporting of IRRs across cancer-treating institutions represents not only a quality and safety gap but also a disparity in cancer care. The present article, supported by recently published data, was developed to standardize these procedures across institutions and provide a useful tool for health care providers in clinical practice to recognize early signs and symptoms of an IRR and promptly and appropriately manage the event.
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Affiliation(s)
- A Barroso
- Multidisciplinary Unit of Thoracic Tumours, Centro Hospitalar de Vila Nova de Gaia e Espinho, Vila Nova de Gaia, Portugal
| | - F Estevinho
- Hospital Pedro Hispano, Unidade Local de Saúde de Matosinhos, Matosinhos, Portugal
| | - V Hespanhol
- Departamento de Medicina Faculty of Medicine, University of Porto, Porto, Portugal; Department of Pulmonology, Centro Hospitalar de São João, Porto, Portugal
| | - E Teixeira
- Lung Cancer Unit, CUF Descobertas, Lisboa, Portugal
| | | | - A Araújo
- Medical Oncology Department, Centro Hospitalar Universitário do Porto, Porto, Portugal; Oncology Research Unit, UMIB-Unit for Multidisciplinary Research in Biomedicine, ICBAS-School of Medicine and Biomedical Sciences, Universidade do Porto, Porto, Portugal.
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Araújo A, Barroso A, Parente B, Travancinha C, Teixeira E, Martelo F, Fernandes G, Paupério G, Queiroga H, Duarte I, da Costa JD, Soares M, Borralho P, Costa P, Chinita P, Almodôvar T, Barata F. Unresectable stage III non-small cell lung cancer: Insights from a Portuguese expert panel. Pulmonology 2024; 30:159-169. [PMID: 36717296 DOI: 10.1016/j.pulmoe.2022.11.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2021] [Revised: 10/29/2022] [Accepted: 11/29/2022] [Indexed: 01/30/2023] Open
Abstract
INTRODUCTION The management of unresectable stage III non-small cell lung cancer (NSCLC) is clinically challenging and there is no current consensus on optimal strategies. Herein, a panel of Portuguese experts aims to present practical recommendations for the global management of unresectable stage III NSCLC patients. METHODS A group of Portuguese lung cancer experts debated aspects related to the diagnosis, staging and treatment of unresectable stage III NSCLC in light of current evidence. Recent breakthroughs in immunotherapy as part of a standard therapeutic approach were also discussed. This review exposes the major conclusions obtained. RESULTS Practical recommendations for the management of unresectable stage III NSCLC were proposed, aiming to improve the pathways of diagnosis and treatment in the Portuguese healthcare system. Clinical heterogeneity of patients with stage III NSCLC hinders the development of single standardised algorithm where all fit. CONCLUSIONS A timely diagnosis and a proper staging contribute to the best management of each patient, optimizing treatment tolerance and effectiveness. The expert panel considered chemoradiotherapy as the preferable approach when surgery is not possible. Management of adverse events and immunotherapy as a consolidation therapy are also essential steps for a successful strategy.
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Affiliation(s)
- A Araújo
- Medical Oncology Department, Centro Hospitalar Universitário do Porto, Largo Prof. Abel Salazar, 4099-001 Porto, Portugal
| | - A Barroso
- Pulmonology Department, Centro Hospitalar Vila Nova de Gaia/Espinho, Rua Conceição Fernandes, 4434-502 Vila Nova de Gaia, Portugal
| | - B Parente
- Hospital CUF Porto, Estrada da Circunvalação 14341, 4100-180 Porto, Portugal
| | - C Travancinha
- Instituto Português de Oncologia Lisboa Francisco Gentil, Rua Prof. Lima Basto, 1099-023 Lisboa, Portugal
| | - E Teixeira
- Centro Hospitalar Lisboa Norte - Hospital Pulido Valente, Alameda das Linhas de Torres, 117 1769-001 Lisboa, Portugal; Hospital CUF Descobertas, Rua Mário Botas, 1998-018 Lisboa, Portugal; Hospital CUF Tejo, Avenida 24 de Julho 171A, 1350-352 Lisboa, Portugal
| | - F Martelo
- Hospital da Luz Lisboa, Avenida Lusíada 100, 1500-650 Lisboa, Portugal
| | - G Fernandes
- Centro Hospitalar Universitário de São João, Porto, Largo Prof. Abel Salazar, 4099-001 Porto, Portugal
| | - G Paupério
- Instituto Português de Oncologia Porto Francisco Gentil, Rua Dr. António Bernardino de Almeida 62, 4200-072 Porto, Portugal
| | - H Queiroga
- Centro Hospitalar Universitário de São João, Porto, Largo Prof. Abel Salazar, 4099-001 Porto, Portugal
| | - I Duarte
- Instituto Português de Oncologia Lisboa Francisco Gentil, Rua Prof. Lima Basto, 1099-023 Lisboa, Portugal
| | - J D da Costa
- Instituto Português de Oncologia Lisboa Francisco Gentil, Rua Prof. Lima Basto, 1099-023 Lisboa, Portugal
| | - M Soares
- Instituto Português de Oncologia Porto Francisco Gentil, Rua Dr. António Bernardino de Almeida 62, 4200-072 Porto, Portugal
| | - P Borralho
- Hospital CUF Descobertas, Rua Mário Botas, 1998-018 Lisboa, Portugal
| | - P Costa
- Instituto CUF Porto, Rua Fonte das Sete Bicas 170, 4460-188 Senhora da Hora, Porto, Portugal
| | - P Chinita
- Hospital do Espírito Santo de Évora, Largo do Sr. da Pobreza, 7000-811 Évora, Portugal
| | - T Almodôvar
- Instituto Português de Oncologia Lisboa Francisco Gentil, Rua Prof. Lima Basto, 1099-023 Lisboa, Portugal
| | - F Barata
- Centro Hospitalar e Universitário de Coimbra, Praceta Professor Mota Pinto, 3004-561 Coimbra, Portugal.
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Guerreiro T, Forjaz G, Antunes L, Bastos J, Mayer A, Aguiar P, Araújo A, Nunes C. Lung cancer survival and sex-specific patterns in Portugal: A population-based analysis. Pulmonology 2023; 29 Suppl 4:S70-S79. [PMID: 34642125 DOI: 10.1016/j.pulmoe.2021.09.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2021] [Revised: 08/10/2021] [Accepted: 09/05/2021] [Indexed: 10/20/2022] Open
Abstract
INTRODUCTION In Portugal, lung cancer (LC) is the first cause of cancer-related death and of death and disability combined. This study aims to analyze the overall survival (OS) and relative survival (RS) of patients diagnosed with LC in 2009-2011 by socio-demographic and tumor characteristics, and analyze sex-specific patterns. METHODS We estimated 5-year OS using the Kaplan-Meier method and 5-year net survival through the RS framework. Cox regression modeling was used to determine the hazard ratio (HR) of death associated with each independent variable. FINDINGS For the 11,523 cases analyzed, median 5-year OS was 264 days (95% confidence interval [CI]: 254.8-273.2), the cumulative OS was 13.6% and RS was 15.1%. Males had a lower median survival (237 days; 95% CI: 228.2-245.7) compared to females (416 days; 95% CI: 384.4-447.6) (p < 0.0001) and lower 5-year RS proportions (12.1% vs. 24.9%). RS progressively decreased with age (41.7% for age-group <40 to 7.2% for ≥80) and stage (66.6% for stage I to 2.4% for stage IV). As predictors of decreased survival, we identified male gender, increasing age >50, histologic types (squamous cell carcinoma, non-small cell lung cancer not otherwise specified, other unspecified and small cell lung cancer), and increasing stage. Compared to women, the risk of death in men was 37.7% higher (HR = 1.386; 95% CI: 1.295-1.484). CONCLUSIONS The differences between OS and RS were small, reflecting the high lethality of LC. Male gender and older age are factors related to poor prognosis. Histology also plays a role in survival prognosis and varies with gender, but the factor related to the worst survival is stage. Although the study reflects data from a decade ago, and major changes occurred in diagnosis, staging and treatment, particularly for advanced disease, as LC mortality is strongly correlated with late stage diagnosis, all efforts should be made to secure early diagnosis and improve survival prospects.
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Affiliation(s)
- T Guerreiro
- NOVA National School of Public Health, NOVA University of Lisbon, Portugal.
| | - G Forjaz
- Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, MD, USA; Azores Oncological Centre, Azores, Portugal
| | - L Antunes
- Cancer Epidemiology Group, IPO Porto Research (CI-IPOP), Portuguese Institute of Oncology Francisco Gentil, Porto, Portugal
| | - J Bastos
- Portuguese Institute of Oncology Francisco Gentil, Coimbra, Portugal
| | - A Mayer
- Portuguese Institute of Oncology Francisco Gentil, Lisbon, Portugal
| | - P Aguiar
- NOVA National School of Public Health, NOVA University of Lisbon, Portugal; Public Health Research Center, NOVA University of Lisbon, Portugal
| | - A Araújo
- University Hospital Center of Porto, Porto, Portugal; Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal
| | - C Nunes
- NOVA National School of Public Health, NOVA University of Lisbon, Portugal; Public Health Research Center, NOVA University of Lisbon, Portugal
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Ringsdorf A, Edtbauer A, Vilà-Guerau de Arellano J, Pfannerstill EY, Gromov S, Kumar V, Pozzer A, Wolff S, Tsokankunku A, Soergel M, Sá MO, Araújo A, Ditas F, Poehlker C, Lelieveld J, Williams J. Inferring the diurnal variability of OH radical concentrations over the Amazon from BVOC measurements. Sci Rep 2023; 13:14900. [PMID: 37689759 PMCID: PMC10492859 DOI: 10.1038/s41598-023-41748-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2023] [Accepted: 08/31/2023] [Indexed: 09/11/2023] Open
Abstract
The atmospheric oxidation of biogenic volatile organic compounds (BVOC) by OH radicals over tropical rainforests impacts local particle production and the lifetime of globally distributed chemically and radiatively active gases. For the pristine Amazon rainforest during the dry season, we empirically determined the diurnal OH radical variability at the forest-atmosphere interface region between 80 and 325 m from 07:00 to 15:00 LT using BVOC measurements. A dynamic time warping approach was applied showing that median averaged mixing times between 80 to 325 m decrease from 105 to 15 min over this time period. The inferred OH concentrations show evidence for an early morning OH peak (07:00-08:00 LT) and an OH maximum (14:00 LT) reaching 2.2 (0.2, 3.8) × 106 molecules cm-3 controlled by the coupling between BVOC emission fluxes, nocturnal NOx accumulation, convective turbulence, air chemistry and photolysis rates. The results were evaluated with a turbulence resolving transport (DALES), a regional scale (WRF-Chem) and a global (EMAC) atmospheric chemistry model.
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Affiliation(s)
- A Ringsdorf
- Department of Atmospheric Chemistry, Max Planck Institute for Chemistry, Mainz, Germany.
| | - A Edtbauer
- Department of Atmospheric Chemistry, Max Planck Institute for Chemistry, Mainz, Germany
| | - J Vilà-Guerau de Arellano
- Department of Atmospheric Chemistry, Max Planck Institute for Chemistry, Mainz, Germany
- Meteorology and Air Quality Section, Wageningen University, Wageningen, The Netherlands
| | - E Y Pfannerstill
- Department of Atmospheric Chemistry, Max Planck Institute for Chemistry, Mainz, Germany
| | - S Gromov
- Department of Atmospheric Chemistry, Max Planck Institute for Chemistry, Mainz, Germany
| | - V Kumar
- Satellite Remote Sensing Group, Max Planck Institute for Chemistry, Mainz, Germany
| | - A Pozzer
- Department of Atmospheric Chemistry, Max Planck Institute for Chemistry, Mainz, Germany
| | - S Wolff
- Department of Atmospheric Chemistry, Max Planck Institute for Chemistry, Mainz, Germany
| | - A Tsokankunku
- Department of Atmospheric Chemistry, Max Planck Institute for Chemistry, Mainz, Germany
| | - M Soergel
- Department of Atmospheric Chemistry, Max Planck Institute for Chemistry, Mainz, Germany
- Friedrich-Alexander-Universität Erlangen-Nürnberg, Sachgebiet Arbeitssicherheit, Erlangen, Germany
| | - M O Sá
- Instituto Nacional de Pesquisas da Amazônia (INPA), Manaus, CEP 69067-375, Brazil
| | - A Araújo
- Empresa Brasileira de Pesquisa Agropecuária (Embrapa) Amazonia Oriental, Belém, CEP 66095-100, Brazil
| | - F Ditas
- Department of Multiphase Chemistry, Max Planck Institute for Chemistry, Mainz, Germany
- Hessian Agency for Nature Conservation, Environment and Geology, Wiesbaden, Germany
| | - C Poehlker
- Department of Multiphase Chemistry, Max Planck Institute for Chemistry, Mainz, Germany
| | - J Lelieveld
- Department of Atmospheric Chemistry, Max Planck Institute for Chemistry, Mainz, Germany
- Climate and Atmosphere Research Center, The Cyprus Institute, 1645, Nicosia, Cyprus
| | - J Williams
- Department of Atmospheric Chemistry, Max Planck Institute for Chemistry, Mainz, Germany.
- Climate and Atmosphere Research Center, The Cyprus Institute, 1645, Nicosia, Cyprus.
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Cardoso I, Pinto M, Araújo A, Vila-Real M. Rare RNF213 variant in adolescent with moyamoya disease. Rev Neurol 2023; 76:177-181. [PMID: 36843178 PMCID: PMC10364026 DOI: 10.33588/rn.7605.2021392] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/28/2023]
Abstract
INTRODUCTION Moyamoya disease is a progressive steno-occlusive disease of the major intracranial arteries. Affected individuals are at risk for intracranial hemorrhagic or ischemic stroke, cognitive impairment, and developmental delays. Several susceptibility genes have been identified. The p.R4810K variant in the RNF213 gene has been identified in 95% of patients with familial moyamoya disease. CASE REPORT We present the case of a 15-year-old adolescent girl who presented with chief complaints of dysgraphia, lack of coordination in the right hand, with two months of evolution. Cerebral magnetic resonance imaging revealed several ischemic lesions with different rates of evolution and magnetic resonance angiography showed multiple subocclusive stenoses. In the study of the sequences of the coding regions and intronic flanking regions (±8 bp) of the RNF213 gene, the variant c.12185G>A, p.(Arg4062Gln) was detected in heterozygosity in the RNF213 gene. This result indicates that the patient is heterozygous for the c.12185G>A, p.(Arg4062Gln) variant in the RNF213 gene. The detected variant has already been reported in the literature as a founder variant in the Asian population, associated with moyamoya syndrome. This variant is described in ClinVar as a variant of unknown clinical significance? Furthermore, it is not described in population databases (dbSNP, ESP, gnomAD). CONCLUSION To our knowledge, the p.(Arg406262Gln) variant has been reported in three Japanese moyamoya disease patients and one European. Therefore, our patient was the second European moyamoya disease patient with this variant identified.
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Affiliation(s)
- I Cardoso
- Centro Hospitalar de Vila Nova de Gaia, Vila Nova de Gaia, Portugal
| | - M Pinto
- Centro Hospitalar de Vila Nova de Gaia, Vila Nova de Gaia, Portugal
| | - A Araújo
- Centro Hospitalar de Vila Nova de Gaia, Vila Nova de Gaia, Portugal
| | - M Vila-Real
- Centro Hospitalar de Vila Nova de Gaia, Vila Nova de Gaia, Portugal
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Estevinho F, Figueiredo A, Teixeira E, Oliveira J, Pego A, Barroso A, Faria A, Fernandes A, Chaves A, Araújo A, Meleiro A, Parente B, Matos C, Canário D, Camacho E, Barata F, Câmara G, Queiroga H, Lopes J, Mellidez J, Barradas L, Ferreira L, Ferreira L, Felizardo M, Figueiredo M, Soares M, Lopes M, Gil N, Fidalgo P, Gomes R, Vitorino R, Valente S, Silva S, Cardoso T, Brito U, Almodovar T. EP04.01-011 Diagnostic Approach and Treatment of Lung Cancer Patients in Portugal: Portuguese Lung Cancer Study Group Survey. J Thorac Oncol 2022. [DOI: 10.1016/j.jtho.2022.07.423] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Brito M, Carvalho F, Vitória P, Amaral A, Carneiro M, Cabacos C, Araújo A, Macedo A, Pereira A. Portuguese validation of the Self-Generated Stress Scale. Eur Psychiatry 2022. [PMCID: PMC9568028 DOI: 10.1192/j.eurpsy.2022.1705] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Introduction
Self-Generated Stress might be defined as stress that is created by oneself by engaging in behavior or making decisions that ultimately add strain to pre-existing personal stress. The Self-Generated Stress Scale (SGSS; Flett et al. 2020) is a seven-item self-report measure built to assess this tendency to make one’s own life more stressful.
Objectives
To analyze the psychometric properties of the Portuguese Version of the SGSS.
Methods
Participants (127 medicine and dentistry students; 78.0% female) answered an online survey including the preliminary Portuguese version of the SGSS and other validated questionnaires: Maslach Burnout Inventory – Students Survey, Depression Anxiety and Stress Scales, HEXACO-60 and Big Three Perfectionism Scale.
Results
Confirmatory Factor Analysis showed that the unidimensional model presented good fit indexes (χ2/df=1.546; RMSEA=.0666, p<.001; CFI=.982 TLI=.972, GFI=.960). The Cronbach’s alfa was .868. Pearson correlations between SGSS and the other measures were significant (p<.01) and moderate/high: Burnout, .412; Stress/Anxiety/Depression, >.550; Perfectionism, .600; Emotionality, .315; Extroversion, -.411. After controlling for the effect of Emotionality and Extroversion, SGSS explained significant additional increments of 19.9% and 14.0% of the DASS and MBI variance; controlling for Perfectionism, the increments were respectively of 27.9% and 2.0%. SGSS mean score (22.96±5.90 was not significantly different by gender.
Conclusions
As observed with the original English-language scale, the Portuguese version of SGSS showed good validity (construct and convergent-divergent) and internal consistency. As such, the SGSS might be useful in further investigation, particularly to explore the different pathways between personality traits, emotional regulation processes and psychological distress.
Disclosure
No significant relationships.
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Carneiro M, Macedo A, Loureiro E, Dias M, Carvalho F, Telles Correia D, Novais F, Barreto Carvalho C, Cabacos C, Pereira D, Vitória P, Araújo A, Pereira A. Inventory of Sources of Stress During Medical Education - Further Validation. Eur Psychiatry 2022. [PMCID: PMC9567326 DOI: 10.1192/j.eurpsy.2022.1586] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Introduction
The Inventory of Academic Sources of Stress in Medical Education (IASSME) evaluates the presence and intensity of the main sources of academic stress for Portuguese Medicine students in five dimensions: Course demands/CD, Human demands/HD, Lifestyle/LS, Academic competition/AC, and Academic adjustment/AA. Objectives To further validate the ISSME using Confirmatory Factor Analysis and to analyze[ATP1] the psychometric properties of a new version including additional sources of stress. Methods Participants were 666 Portuguese medicine (82.6%) and dentistry (17.4%) students (81.8% girls); they answered an online survey including the ISSME and other validated questionnaires: Maslach Burnout Inventory – Students Survey (MBI-SS) and Depression Anxiety and Stress Scales (DASS). Results Confirmatory Factor Analysis showed that the second order model composed of five factors (the original structure by Loureiro et al. 2008), but excluding item 11 (loading=.371), presented good fit indexes (χ2/df=3.274; RMSEA=.0581, p<.001; CFI=.917; TLI=.904, GFI=.919). The Cronbach’s alfas were α=.897 for the total and from α=.669 (F2-HD) to α=.859 (F1-CD) for the dimensions. The expanded version, including two additional items related to lack of interest in medicine/dentistry (F6, α=.543) and two additional COVID-19 stress-related-items (F7, α=.744) also showed acceptable fit indexes (χ2/df=3.513; RMSEA=.061, p<.001; CFI=.88.; TLI=.866, GFI=.892). This new version’s α was of .896. Pearson correlations between ISSME and the other measures were significant (p<.01) and high: >.55 with DASS and >.50 with MBI-SS. Girls presented significantly higher ISSME scores. F6 score was significantly higher in dentistry students. Conclusions
This further validation study underlines that IASSME presents good validity (construct and convergent) and reliability. Disclosure No significant relationships.
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Pereira A, Cabacos C, Araújo A, Soares M, Brito M, Carvalho F, Mota D, Bajouco M, Madeira N, Carneiro M, Macedo A. COVID-19 Pandemic: Another Source of Stress for Medical Students. Eur Psychiatry 2022. [PMCID: PMC9564996 DOI: 10.1192/j.eurpsy.2022.1260] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
Introduction The COVID-19 pandemic has completely changed the experience of higher education with potentially negative consequences for students’ wellbeing. Objectives To compare medicine/dentistry students’ depression/anxiety/stress levels before versus during the pandemic and to analyse the role of COVID-19-related stressors in their psychological distress. Methods Students from the Faculty of Medicine University of Coimbra answered socio-demographic and personality questionnaires and the Depression, Anxiety and Stress Scale/DASS before (academic years 2016-2017-2018-2019 - SAMPLE1; n=1000) and during (September-December 2020 and January-March 2021 - SAMPLE2; n=650) the COVID-19 pandemic. Mean age (21.12±3.75), personality traits scores, and gender proportions (»75% girls) did not significantly differ between samples. SAMPLE2 also filled in the Fear of COVID-19 Scale and a new version of the Inventory of Sources of Stress During Medical Education/ISSDME, containing a COVID-19 -related dimension (restrictions on training and on socializing with friends/colleagues). Results SAMPLE2 presented significantly higher mean scores of depression (3.89±3.55vs.3.33±3.34), anxiety (3.27±4.08vs.2.86±3.29), stress (7.07±5.72vs.6.18±4.59) and total DASS (12.28±10.55vs.13.65±11.13) than SAMPLE1 (all p<.05). Fear of COVID-19 was a significant predictor of DASS score (adjusted R2=2.9%, p<.001). COVID-19-related stressors continued explaining significant increments of DASS variance after controlling for each of the ISSDME dimensions: Course demands (R2 Change=1.8%), Human demands (2.5%), Lifestyle (2.3%), Academic competition (5.5%), and Academic adjustment (5.2%) (all p<.001). Conclusions This study adds to the evidence of the negative impact of COVID-19 on students and emphasizes its pernicious role on medical students’ psychological distress, which is already higher due to the individual and academic stressors to which they are more exposed. Disclosure No significant relationships.
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Pereira A, Cabacos C, Soares S, Pacheco M, Manão A, Araújo A, Amaral A, De Sousa R, Macedo A. Adherence Scale to the Recommendations for Mental Health during the COVID-19 pandemic from the Portuguese General Directorate of Health (ASR-MH-COVID19) - Development and validation. Eur Psychiatry 2022. [PMCID: PMC9564254 DOI: 10.1192/j.eurpsy.2022.680] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Introduction The COVID-19 crisis has generated an increasing stress throughout the population. Objectives To develop and validate the Adherence Scale to the Recommendations for Mental Health during the COVID-19 pandemic from the Portuguese General Directorate of Health (GDH) (ASR-MH-COVID19). Methods The items content was based on the GDH guides for the prevention of mental health and psychosocial well-being of the general population during the COVID-19 outbreak. After content and facial validity analysis, the preliminary version of the ASR-MH-COVID19 (8 items to be answered on a Likert scale) was completed by 413 individuals (69.2% female; mean age=31.02±14,272), in September-December 2020 (Sample1) and then by 967 (70.9% female; mean age=34.02±14,272), in February-May 2021 (Sample2). Sample1 was randomly divided in two sub-samples. Sample1A was used for exploratory factor analysis/EFA and Sample1B for confirmatory factor analysis/CFA; CFA was then replicated with Sample2. The online surveys also included the Adherence Scale to the Recommendations of Portuguese GDH to minimize the impact of COVID-19 (ASR-COVID-19; Pereira et al. 2020). Results CFAs were informed by EFA and showed that the unidimensional model presented acceptable-good fit indexes (Sample1B: χ2/df=2.747; RMSEA=.0980, p<.001; CFI=.973; TLI=.918, GFI=.972; Sample2: χ2/df=3.327; RMSEA=.0490, p<.001; CFI=.993; TLI=.983, GFI=.990). Cronbach’s alfas were α<.850. Pearson correlations between ASR-MH-COVID19 and ASR-COVID19 were significant (p<.01) and moderate-high for the total (r=.753) and dimensional scores (Distance and respiratory hygiene, r=.739; House and personal hygiene, r=.584; Use of remote services and isolation r=.425). Conclusions The new ASR-MH-COVID19 has shown validity and reliability, allowing the investigation of this (mental) health behaviour. Disclosure No significant relationships.
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Araújo A, Batista M, Pascoal M, Pereira A, Ventura F, Madeira N, Macedo A. Eating problems in ADHD: self-regulatory or inattentive/impulsive. Eur Psychiatry 2022. [PMCID: PMC9564748 DOI: 10.1192/j.eurpsy.2022.1178] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Introduction ADHD is a risk factor for impulsive/compulsive eating problems (EP). In, bulimia nervosa and compulsive eating disorder, EP are frequently preceded by negative affect and experienced as loss of control. Clarifying the underlying causes (eg., ADHD symptoms and/or psychological distress) of EP in ADHD would allow the development of targeted interventions. Objectives To a) compare levels of EP between ADHD patients and a community sample, and b) test if ADHD symptoms and psychological distress predict EP, in ADHD patients. Methods Adults with ADHD (n=32; age=23.78+/-6.12; 69% males) from the Neurodevelopmental Outpatient Unit of Coimbra and healthy participants (n=30; age=36.90+/-13.23; 57% males) answered an online survey including the Portuguese versions of the Adult ADHD Self-Report Scale Symptom Checklist, the Parkinson’s Disease Impulsive-Compulsive Disorders Questionnaire-Current Short and the Depression, Anxiety and Stress Scale. Results The ADHD group reported experiencing more EP than healthy individuals (18/32 vs. 4/30; χ2=12.458, p<.001). ADHD patients with EP suffered from severer ADHD inattentive, hyperactive, and global symptoms and higher levels of psychological distress (p<.001 to p=.027). Logistic regression model testing if ADHD and psychological distress symptoms predicted EP, in ADHD, explained 38.8% of the variance and showed that the only significant predictor was ADHD symptoms (B=.121, SE=.051, p=.017). Conclusions Our results indicate that EP are associated with severer ADHD clinical pictures. EP arose secondarily to ADHD symptoms, instead of serving as means to alleviate psychological distress. Clinicians should be mindful that, in ADHD patients, EP follow specific motivations, i.e., impulsivity and inattention, and may respond to combined cognitive-behavioural/executive training strategy. Disclosure No significant relationships.
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Carvalho F, Macedo A, Manão A, Cabacos C, Azevedo J, Marques C, Marques M, Carneiro M, Telles Correia D, Novais F, Carvalho C, Araújo A, Pereira A. Further Validation of the Short Form of the Self-Compassion Scale in a sample of Portuguese Medicine Students. Eur Psychiatry 2022. [PMCID: PMC9565275 DOI: 10.1192/j.eurpsy.2022.472] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Introduction The Short Form of the Self-Compassion Scale (SCS-SF; Raes et al. 2011) is composed of 12 items that evaluate the same six dimensions (Self-Kindness/SK, Self-Judgement/SJ, Common Humanity/CH, Isolation, Mindfulness/M, Over-Identification/OI) as the long scale (26 items). The Portuguese version of the SCS-SF (Castilho et al. 2015) was validated in a vast sample from clinical and general populations, the latter being composed of students, other than from medicine courses. Objectives To analyze the psychometric properties of the Portuguese version of the SCS-SF in a sample of Medicine/Dentistry students. Methods Participants were 666 Portuguese medicine (82.6%) and dentistry (17.4%) students (81.8% girls); they answered an online survey including the SCS and other validated questionnaires from the OECD Study on Social and Emotional Skills/SSES: Stress resistance, Emotional control, Optimism and Persistence. Results Confirmatory Factor Analysis showed that the model composed of six factors, two second order factors (positive and negative) and one third order factor (total) presented good fit indexes (χ2/df=3.013; RMSEA=.0066, p<.001; CFI=.970; TLI=.948, GFI=.947). The Cronbach’s alfas were .892, .869 and .877 respectively for the total, self-compassion and self-criticism dimension. Pearson correlations of the SCS-SF total score, self-compassion and self-criticism dimensional scores were moderate to high with the SSES measures, from .272/-.236/.247 with Persistence to .709/-.634/.615 with Optimism. Conclusions Although reduced to less than half than the original SCS, the SCS–SF is a valid and useful alternative to measure general self-compassion and their positive and negative components in an ongoing longitudinal research with medicine/dentistry students. Disclosure No significant relationships.
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Pereira A, Cabacos C, Soares S, Araújo A, Manão A, Amaral A, Sousa R, Macedo A. Relationship between personality, adherence to (mental) health behaviours and psychological distress during the COVID-19 pandemic. Eur Psychiatry 2022. [PMCID: PMC9567126 DOI: 10.1192/j.eurpsy.2022.1270] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Introduction Public health authorities around the world have been disseminating messages to support mental health and psychosocial well-being during the COVID-19 pandemic. Based on the Portuguese guidelines, we have developed the Adherence Scale to the Recommendations for Mental Health during the COVID-19 Pandemic (ASR-MH-COVID19) to better understand this health behaviour. Objectives To analyse the relationship between sociodemographics, personality traits, Adherence (to the Recommendations for Mental Health during the COVID-19 Pandemic) and psychological distress. Methods 413 individuals (69.2% female; mean age=31.02±14,272) completed an on-line survey, in September-December 2020, including sociodemographic questions, ASR-MH-COVID19, NEO-FFI-20 and Depression Anxiety Stress Scale (DASS-21) and Health Perception Scale. Results Adherence scores did not significantly differ by gender, age and years of education. Women presented higher DASS and Neuroticism scores (p<.01). Adherence were negatively correlated with Neuroticism (r=-.247) and with Depression/Anxiety/Stress (all r».-200), positively with Openness to Experience (r=.174), Conscientiousness (r=.194) and Perceived Health (Physical, r=.173 and Psychological, r=.215) (all p<.01). Mediation analysis (Hays’ Macro Process - Model 4) revealed that Adherence is a partial mediator between Openness and DASS and Conscientiousness and DASS; when considering Neuroticism, only the direct effect was significant. The effect of Perceived Health (both Physical and Psychological) on DASS was also mediated by Adherence. Conclusions The Health Behaviour Model proposes a pathway linking personality and health that applies to these results about adherence and psychological distress during the COVID-19 pandemic. Personality and perceived health (also a trait) influence both adherence to mental health behaviours and psychological distress. Understanding personality is vital for health care providers. Disclosure No significant relationships.
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Carneiro M, Macedo A, Loureiro E, Dias M, Carvalho F, Telles Correia D, Novais F, Barreto Carvalho C, Cabacos C, Pereira D, Vitória P, Araújo A, Pereira A. Inventory of Sources of Stress During Medical Education - Further Validation. Eur Psychiatry 2022. [PMCID: PMC9566893 DOI: 10.1192/j.eurpsy.2022.1784] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Introduction
The Inventory of Academic Sources of Stress in Medical Education (IASSME) evaluates the presence and intensity of the main sources of academic stress for Portuguese Medicine students in five dimensions: Course demands/CD, Human demands/HD, Lifestyle/LS, Academic competition/AC, and Academic adjustment/AA.
Objectives
To further validate the ISSME using Confirmatory Factor Analysis and to analyze the psychometric properties of a new version including additional sources of stress.
Methods
Participants were 666 Portuguese medicine (82.6%) and dentistry (17.4%) students (81.8% girls); they answered an online survey including the ISSME and other validated questionnaires: Maslach Burnout Inventory – Students Survey (MBI-SS) and Depression Anxiety and Stress Scales (DASS).
Results
Confirmatory Factor Analysis showed that the second order model composed of five factors (the original structure by Loureiro et al. 2008), but excluding item 11 (loading=.371), presented good fit indexes (χ2/df=3.274; RMSEA=.0581, p<.001; CFI=.917; TLI=.904, GFI=.919). The Cronbach’s alfas were α=.897 for the total and from α=.669 (F2-HD) to α=.859 (F1-CD) for the dimensions. The expanded version, including two additional items related to lack of interest in medicine/dentistry (F6, α=.543) and two additional COVID-19 stress-related-items (F7, α=.744) also showed acceptable fit indexes (χ2/df=3.513; RMSEA=.061, p<.001; CFI=.88.; TLI=.866, GFI=.892). This new version’s α was of .896. Pearson correlations between ISSME and the other measures were significant (p<.01) and high: >.55 with DASS and >.50 with MBI-SS. Girls presented significantly higher ISSME scores. F6 score was significantly higher in dentistry students.
Conclusions
This further validation study underlines that IASSME presents good validity (construct and convergent) and reliability.
Disclosure
No significant relationships.
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Pereira A, Cabacos C, Araújo A, Manão A, Amaral A, Soares M, De Sousa R, Macedo A. From Perceived Vulnerability to Disease to Psychological Distress in times of COVID19 pandemic. Eur Psychiatry 2022. [PMCID: PMC9565878 DOI: 10.1192/j.eurpsy.2022.682] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Introduction
Perceived vulnerability to disease/PVD may influence psychological reactions to COVID-19 pandemic.
Objectives
To analyse the role of PVD in psychological distress/PD during the COVID-19 pandemic, testing whether it is mediated by perceived risk of COVID-19, fear of COVID-19 and repetitive negative thinking/RNT.
Methods
Participants (N=413 adults; 69.2% women) were recruited from September until December 2020, via social networks. They completed the following self-report validated questionnaires: Perceived Vulnerability to Disease Questionnaire/PVDQ; Perceived Risk of COVID-19 Scale, Fear of COVID-19 Scale; Perseverative Thinking Questionnaire and Depression Anxiety and Stress Scale. As women had significantly higher levels of PVD, COVID-19 perceived risk and fear, RNT, and psychological distress/PD, gender was controlled in mediation analysis (using PROCESS macro for SPSS; Hayes 2018).
Results
All the variables significantly (p<.01), moderately (r>.20) and positively correlated. The serial mediation model 6 with the three sequential mediators resulted in significant total effect (c=.326, se=.0791, p<.001, CI:.1702-.4814), non-significant direct effect (c’=.111, se=.065, p=.087, CI:-.0162 to .2380), significant total indirect effect (.2149, se=.065, CI:.1079-.3278); most indirect effects were significant, including the indirect 7 (.0144, se=.0077, CI=.0017-.0320), that goes through all mediators (PVD->COVID19 perceived risk->COVID19 fear->RNT->PD), meaning full mediation.
Conclusions
The effect of PVD on psychological distress operates by increasing the perception of risk and the fear of COVID-19, which intensify related worries and ruminations in times of pandemic. People with high perceived threat, aversion and discomfort in situations associated with increased risk of infection should be helped to decrease dysfunctional cognitive contents and processes in times of pandemic.
Disclosure
No significant relationships.
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Cabacos C, Pereira A, Pacheco M, Soares S, Manão A, Araújo A, Amaral A, De Sousa R, Macedo A. Adherence to the Recommendations from the Portuguese General Directorate of Health (GDH) during the COVID-19 pandemic: fear or prosocial behaviour? Eur Psychiatry 2022. [PMCID: PMC9567135 DOI: 10.1192/j.eurpsy.2022.792] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Introduction
During a public health crisis, preventive measures are essential. However, to make them effective, all citizens must be engaged.
Objectives
To analyse the differential role of individual and contextual variables in the adherence to public health recommendations.
Methods
1376 adults (70.5% female; mean age=35.55±14.27) completed a survey between September/2020 and May/2021 with: Adherence Scale to the Recommendations during COVID-19
(ASR-COVID19; evaluates three dimensions of adherence), Fear of Covid-19 Scale (FC19S) and Toronto and Coimbra Prosocial Behaviour Questionnaire (ProBeQ; assesses empathy and altruism).
Results
Adherence did not differ between individuals with or without personal or family history of COVID-19 infection. ASR-COVID19 and all dimensions were positively correlated to ProBeQ’s altruism and empathy (from r=.32 to r=.54); FCV19S correlated positively to total adherence score and house sanitation (from r=.18 to r=.26; all p<.01). Linear regressions revealed that altruism and empathy (first model), as well as fear of Covid-19 (second model), were significant predictors of adherence; however, while the first model explained ≅28% of its variance, the second (FCV19S as independent variable) only explained ≅3%. Regression models performed in a subsample of participants with personal or family history of COVID-19 revealed that only empathy, but not altruism, was a significant predictor of adherence; in this subsample, fear was no longer a significant predictor of adherence, except for lockdown and use of teleservices.
Conclusions
Based on our results, we suggest health care providers and public health campaigns should take into consideration social solidarity and altruism, as well as previous experiences, when appealing to public’s engagement in health behaviour.
Disclosure
No significant relationships.
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Pereira A, Cabacos C, Soares S, Araújo A, Manão A, Amaral A, De Sousa R, Macedo A. Relationship between personality, adherence to (mental) health behaviours and psychological distress during the COVID-19 pandemic. Eur Psychiatry 2022. [PMCID: PMC9564716 DOI: 10.1192/j.eurpsy.2022.681] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Introduction Public health authorities around the world have been disseminating messages to support mental health and psychosocial well-being during the COVID-19 pandemic. Based on the Portuguese guidelines, we have developed the Adherence Scale to the Recommendations for Mental Health during the COVID-19 Pandemic (ASR-MH-COVID19) to better understand this health behaviour. Objectives To analyse the relationship between sociodemographics, personality traits, Adherence (to the Recommendations for Mental Health during the COVID-19 Pandemic) and psychological distress. Methods 413 individuals (69.2% female; mean age=31.02±14,272) completed an on-line survey, in September-December 2020, including sociodemographic questions, ASR-MH-COVID19, NEO-FFI-20 and Depression Anxiety Stress Scale (DASS-21) and Health Perception Scale. Results Adherence scores did not significantly differ by gender, age and years of education. Women presented higher DASS and Neuroticism scores (p<.01). Adherence were negatively correlated with Neuroticism (r=-.247) and with Depression/Anxiety/Stress (all r».-200), positively with Openness to Experience (r=.174), Conscientiousness (r=.194) and Perceived Health (Physical, r=.173 and Psychological, r=.215) (all p<.01). Mediation analysis (Hays’ Macro Process - Model 4) revealed that Adherence is a partial mediator between Openness and DASS and Conscientiousness and DASS; when considering Neuroticism, only the direct effect was significant. The effect of Perceived Health (both Physical and Psychological) on DASS was also mediated by Adherence. Conclusions The Health Behaviour Model proposes a pathway linking personality and health that applies to these results about adherence and psychological distress during the COVID-19 pandemic. Personality and perceived health (also a trait) influence both adherence to mental health behaviours and psychological distress. Understanding personality is vital for health care providers. Disclosure No significant relationships.
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Cabacos C, Pereira A, Carneiro M, Carvalho F, Manão A, Araújo A, Pereira D, Macedo A. Stigma towards mental illness in med students: you label me, I label you? Eur Psychiatry 2022. [PMCID: PMC9564945 DOI: 10.1192/j.eurpsy.2022.900] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Introduction
Evidence suggests that besides having stigmatizing misconceptions towards people with mental illness, medical students and doctors often resist seeking help for their own mental issues. This is a vulnerable group for stress and other mental health problems, due not only to professional burden but also high perfectionism and low self-compassion.
Objectives
To analyse the relationship between mental health stigma (MHS) and other variables related to personality and emotional states in a sample of medical students.
Methods
634 medicine and dentistry students (mean age = 21.6±6.9;81.4% female) answered to a survey including sociodemographic data, self-perception of psychological health/SPPH and the Portuguese validated versions of: Link’s Perceived Discrimination and Devaluation (PDD) scale to assess MHS and its two dimensions - social stigma/SocS and self-stigma/SelS; Depression Anxiety Stress Scale (DASS-21); Neff’s Self-Compassion Scale (SCS); and Big Three Perfectionism Scale (BTPS). Correlations, t-student tests and linear regressions were performed with SPSS 27.0.
Results
Stigma correlated negatively to SPPH and positively to DASS, the negative poles of SCS (self-judgement, isolation and over-identification) and BTPS second-order factors (all from p<.05 to p<.01). No gender differences in MHS were observed. Participants with higher mean levels of total and SelS had significantly higher scores in all DASS dimensions and lower SPPH; participants with higher SocS also scored higher in DASS, but didn’t reveal lower SPPH. Isolation was a significant predictor of SocS (R2=2.8%;p<.05); isolation and narcissistic perfectionism were significant predictors of SelS (R2=11%;p<.01).
Conclusions
Our results highlight the importance of including MHS as a main need in the curricula of future doctors.
Disclosure
No significant relationships.
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Pereira A, Cabacos C, Soares S, Pacheco M, Manão A, Araújo A, Amaral A, Sousa R, Macedo A. Adherence Scale to the Recommendations for Mental Health during the COVID-19 pandemic from the Portuguese General Directorate of Health (ASR-MH-COVID19) - Development and validation. Eur Psychiatry 2022. [PMCID: PMC9567329 DOI: 10.1192/j.eurpsy.2022.679] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
Abstract
Introduction The COVID-19 crisis has generated an increasing stress throughout the population. Objectives To develop and validate the Adherence Scale to the Recommendations for Mental Health during the COVID-19 pandemic from the Portuguese General Directorate of Health (GDH) (ASR-MH-COVID19). Methods The items content was based on the GDH guides for the prevention of mental health and psychosocial well-being of the general population during the COVID-19 outbreak. After content and facial validity analysis, the preliminary version of the ASR-MH-COVID19 (8 items to be answered on a Likert scale) was completed by 413 individuals (69.2% female; mean age=31.02±14,272), in September-December 2020 (Sample1) and then by 967 (70.9% female; mean age=34.02±14,272), in February-May 2021 (Sample2). Sample1 was randomly divided in two sub-samples. Sample1A was used for exploratory factor analysis/EFA and Sample1B for confirmatory factor analysis/CFA; CFA was then replicated with Sample2. The online surveys also included the Adherence Scale to the Recommendations of Portuguese GDH to minimize the impact of COVID-19 (ASR-COVID-19; Pereira et al. 2020). Results CFAs were informed by EFA and showed that the unidimensional model presented acceptable-good fit indexes (Sample1B: χ2/df=2.747; RMSEA=.0980, p<.001; CFI=.973; TLI=.918, GFI=.972; Sample2: χ2/df=3.327; RMSEA=.0490, p<.001; CFI=.993; TLI=.983, GFI=.990). Cronbach’s alfas were α<.850. Pearson correlations between ASR-MH-COVID19 and ASR-COVID19 were significant (p<.01) and moderate-high for the total (r=.753) and dimensional scores (Distance and respiratory hygiene, r=.739; House and personal hygiene, r=.584; Use of remote services and isolation r=.425). Conclusions The new ASR-MH-COVID19 has shown validity and reliability, allowing the investigation of this (mental) health behaviour. Disclosure No significant relationships.
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Costa L, Alexandre M, Mansinho A, Teixeira Sousa A, Pereira Vieira C, Bell E, Swales O, Hughes R, Nagda N, Lucherini S, Roediger A, Araújo A. 113P Health outcomes and budget impact projection of the anti-PD-(L)1 class in cancer care in Portugal. Ann Oncol 2021. [DOI: 10.1016/j.annonc.2021.10.131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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21
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Passiglia F, Tabbò F, Righi L, Bironzo P, Reale M, Listi A, Sini C, Vallone S, Arizio F, Secen N, Paz-Ares L, Felip E, Araújo A, Linardou H, Mohorcic K, Mazilu L, Szmytke E, Comanescu A, Scagliotti G, Novello S. 1368TiP EPROPA: The European program for routine testing of patients with advanced lung cancer. Ann Oncol 2021. [DOI: 10.1016/j.annonc.2021.08.1969] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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22
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Portugal F, Araújo A, Silva C, Campos M, Valentim A. Combination gel of 2% amitriptyline and 0.5% ketamine to treat refractory erythromelalgia pain - a case report of pain control success. Rev Esp Anestesiol Reanim (Engl Ed) 2021; 68:293-296. [PMID: 33358428 DOI: 10.1016/j.redar.2020.05.018] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/04/2020] [Revised: 05/18/2020] [Accepted: 05/21/2020] [Indexed: 06/12/2023]
Abstract
Erythromelalgia (EM) is a rare autosomal dominant neuropathy characterized by the combination of severe burning pain and erythematous warm extremities. Chronic pain control is most often unsuccessful and a completely effective therapy is yet to be identified. Recent studies have reported significant improvements in pain management using a combination of amitriptyline and ketamine in a topical formulation. We describe a 1-year follow-up pain control success case of a male patient with EM, proposed for topical use of a 2% Amitriptyline and 0.5% Ketamine gel.
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Affiliation(s)
- F Portugal
- Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal; Chronic Pain Unit, Department of Anaesthesiology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
| | - A Araújo
- Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal; Chronic Pain Unit, Department of Anaesthesiology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - C Silva
- Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal; Chronic Pain Unit, Department of Anaesthesiology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - M Campos
- Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal; Chronic Pain Unit, Department of Anaesthesiology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - A Valentim
- Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal; Chronic Pain Unit, Department of Anaesthesiology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
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Portugal F, Araújo A, Silva C, Campos M, Valentim A. Combination gel of 2% amitriptyline and 0.5% ketamine to treat refractory erythromelalgia pain - a case report of pain control success. Rev Esp Anestesiol Reanim (Engl Ed) 2021; 68:293-296. [PMID: 34140126 DOI: 10.1016/j.redare.2020.05.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/04/2020] [Accepted: 05/21/2020] [Indexed: 06/12/2023]
Abstract
Erythromelalgia (EM) is a rare autosomal dominant neuropathy characterized by the combination of severe burning pain and erythematous warm extremities. Chronic pain control is most often unsuccessful and a completely effective therapy is yet to be identified. Recent studies have reported significant improvements in pain management using a combination of amitriptyline and ketamine in a topical formulation. We describe a 1-year follow-up pain control success case of a male patient with EM, proposed for topical use of a 2% Amitriptyline and 0.5% Ketamine gel.
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Affiliation(s)
- F Portugal
- Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal; Chronic Pain Unit, Department of Anaesthesiology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
| | - A Araújo
- Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal; Chronic Pain Unit, Department of Anaesthesiology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - C Silva
- Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal; Chronic Pain Unit, Department of Anaesthesiology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - M Campos
- Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal; Chronic Pain Unit, Department of Anaesthesiology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - A Valentim
- Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal; Chronic Pain Unit, Department of Anaesthesiology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
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Merino M, Colomé E, Esposito F, Beato C, Araújo A, de Miguel Y, Gemas V, Font C. PO-63 Empowering cancer patients for non-pharmacological primary prevention and early recognition of cancer-associated thrombosis (CAT): the EMPATIC-CP survey. Thromb Res 2021. [DOI: 10.1016/s0049-3848(21)00236-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Cerezuela P, García Escobar I, Salgado M, Molina R, Araújo A, Horváth E, Porta-Balanya R, Benitez Montanez J, Lobo de Mena M, Font C, Martí E, Garicano F, Campos Balea B, Martínez de Castro E, Malheiro M, Costa A, Colomé E, Castellón Rubio V, Gallardo E, Trujillo Santos J. 1823P Characterization of thrombosis risk in patients with cancer: Preliminary results. Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.08.1470] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Araújo A, Bulhosa C, Goulão J, Martins AP. MisuMedPT - Morbi-mortality consequences of misuse of psychoactive prescription drugs in Portugal. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa166.1320] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
In Portugal, there are no published data on the health-related consequences of prescription drug misuse, which is therefore a public health issue of unknown dimension in our country. Poison control centres and other pharmacoepidemiological sources can be part of a surveillance system for monitoring medicine's use and misuse.
Methods
Retrospective observational study of intentional exposures to opioid analgesics, antiepileptics, antidepressants, anxiolytics, hypnotics and sedatives reported to the Portuguese Poison Information Centre (CIAV) between 2014 and 2018. Variables studied were demographic characteristics of individuals, geographic distribution of calls, co-exposure to alcohol or illicit drugs, call origin, case evaluation and guidance.
Results
CIAV received 24624 calls reporting 34203 intentional exposures to any medicine, 31169 (91.1%) of which involving one of the studied psychoactive medicines and 20906 exposures having emergency room advice or effective hospitalisation. The most frequently involved medicines were benzodiazepines (62.0%) - alprazolam (15.4%) and diazepam (12.0%) - with trazodone ranking fifth (6.0%). Combination with non-medicinal products was seen in 2169 calls (9.4%), 2052 (94.6%) of which with alcohol.
Conclusions
There is female predominance in the poisonings reported involving any of the medicines studied. Benzodiazepines and antidepressants are the top classes reported. The rate of intentional exposures to psychoactive medicines is higher in Coimbra district, whose significant university student population requires further analysis of data. To adjust for the variability in the level of medicines' use in the population, work is undergoing to include rates of intentional poisonings in patients prescribed the studied medicines. To better characterise the potential consequences of misuse of psychoactive prescription drugs in Portugal, additional data on deaths involving these medicines will also be included in the project.
Key messages
First published Portuguese data on prescription drug poisoning reported to CIAV. First Portuguese project to analyse prescription drug poisoning, forensic and hospitalisation data.
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Affiliation(s)
- A Araújo
- Social Pharmacy, Faculty of Pharmacy, Lisbon, Portugal
- Institute for Evidence Based Medicine, Lisbon, Portugal
| | | | | | - A P Martins
- Social Pharmacy, Faculty of Pharmacy, Lisbon, Portugal
- Institute for Evidence Based Medicine, Lisbon, Portugal
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Figueiredo A, Almeida M, Almodovar M, Alves P, Araújo A, Araújo D, Barata F, Barradas L, Barroso A, Brito U, Camacho E, Canário D, Cardoso T, Chaves A, Costa L, Cunha J, Duarte J, Estevinho F, Felizardo M, Fernandes J, Ferreira L, Ferreira L, Fidalgo P, Freitas C, Garrido P, Gil N, Hasmucrai D, Jesus E, Lopes J, de Macedo J, Meleiro A, Neveda R, Nogueira F, Pantorotto M, Parente B, Pego A, Rocha M, Roque J, Santos C, Saraiva J, Silva E, Silva S, Simões S, Soares M, Teixeira E, Timóteo T, Hespanhol V. Real-world data from the Portuguese Nivolumab Expanded Access Program (EAP) in previously treated Non Small Cell Lung Cancer (NSCLC). Pulmonology 2020; 26:10-17. [DOI: 10.1016/j.pulmoe.2019.06.001] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2019] [Revised: 05/27/2019] [Accepted: 06/10/2019] [Indexed: 11/30/2022] Open
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Esteves R, Ventura S, Araújo A, Cavaco O, Leitão J. Use or abuse of psychoactive substances: is there a problem to be solved in Portuguese education institutions? Eur J Public Health 2019. [DOI: 10.1093/eurpub/ckz035.040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- R Esteves
- Escola Superior de Saúde do Instituto Politécnico da Guarda, Portugal
| | - S Ventura
- Escola Superior de Saúde do Instituto Politécnico da Guarda, Portugal
- Unidade de Investigação para o Desenvolvimento do Interior, Instituto Politécnico da Guarda, Portugal
| | - A Araújo
- Escola Superior de Saúde do Instituto Politécnico da Guarda, Portugal
- Unidade de Investigação para o Desenvolvimento do Interior, Instituto Politécnico da Guarda, Portugal
| | - O Cavaco
- Escola Superior de Saúde do Instituto Politécnico da Guarda, Portugal
- Unidade de Investigação para o Desenvolvimento do Interior, Instituto Politécnico da Guarda, Portugal
| | - J Leitão
- Escola Superior de Saúde do Instituto Politécnico da Guarda, Portugal
- Unidade de Investigação para o Desenvolvimento do Interior, Instituto Politécnico da Guarda, Portugal
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Botas L, Fonseca A, Araújo A. Evaluation of the Knowledge regarding the Risk of Occurrence of Cutaneous Cancer and its relation with the Behaviours in relation to the Solar Exposure: Study in the Central Region. Eur J Public Health 2019. [DOI: 10.1093/eurpub/ckz034.078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- L Botas
- ESTeSC - Coimbra Health School, Instituto Politécnico de Coimbra, Portugal
| | - A Fonseca
- ESTeSC - Coimbra Health School, Instituto Politécnico de Coimbra, Portugal
| | - A Araújo
- Unidade de Investigação para o Desenvolvimento do Interior, Instituto Politécnico da Guarda, Portugal
- LAQV, REQUIMTE, Departamento de Ciências Químicas, Laboratório de Química Aplicada, Faculdade de Farmácia, Universidade do Porto, Portugal
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Nunes D, Pimentel A, Matias M, Freire T, Araújo A, Silva F, Gaspar P, Garcia S, Carvalho PA, Fortunato E, Martins R. Tailoring Upconversion and Morphology of Yb/Eu Doped Y₂O₃ Nanostructures by Acid Composition Mediation. Nanomaterials (Basel) 2019; 9:nano9020234. [PMID: 30744111 PMCID: PMC6410257 DOI: 10.3390/nano9020234] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/29/2018] [Revised: 01/23/2019] [Accepted: 02/04/2019] [Indexed: 11/16/2022]
Abstract
The present study reports the production of upconverter nanostructures composed by a yttrium oxide host matrix co-doped with ytterbium and europium, i.e., Y2O3:Yb3+/Eu3+. These nanostructures were formed through the dissociation of yttrium, ytterbium and europium oxides using acetic, hydrochloric and nitric acids, followed by a fast hydrothermal method assisted by microwave irradiation and subsequent calcination process. Structural characterization has been carried out by X-ray diffraction (XRD), scanning transmission electron microscopy (STEM) and scanning electron microscopy (SEM) both coupled with energy dispersive X-ray spectroscopy (EDS). The acid used for dissociation of the primary oxides played a crucial role on the morphology of the nanostructures. The acetic-based nanostructures resulted in nanosheets in the micrometer range, with thickness of around 50 nm, while hydrochloric and nitric resulted in sphere-shaped nanostructures. The produced nanostructures revealed a homogeneous distribution of the doping elements. The thermal behaviour of the materials has been investigated with in situ X-Ray diffraction and differential scanning calorimetry (DSC) experiments. Moreover, the optical band gaps of all materials were determined from diffuse reflectance spectroscopy, and their photoluminescence behaviour has been accessed showing significant differences depending on the acid used, which can directly influence their upconversion performance.
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Affiliation(s)
- Daniela Nunes
- i3N/CENIMAT, Department of Materials Science, Faculty of Sciences and Technology, Universidade NOVA de Lisboa and CEMOP/UNINOVA, Campus de Caparica, Caparica 2829-516, Portugal.
| | - Ana Pimentel
- i3N/CENIMAT, Department of Materials Science, Faculty of Sciences and Technology, Universidade NOVA de Lisboa and CEMOP/UNINOVA, Campus de Caparica, Caparica 2829-516, Portugal.
| | - Mariana Matias
- i3N/CENIMAT, Department of Materials Science, Faculty of Sciences and Technology, Universidade NOVA de Lisboa and CEMOP/UNINOVA, Campus de Caparica, Caparica 2829-516, Portugal.
| | - Tomás Freire
- i3N/CENIMAT, Department of Materials Science, Faculty of Sciences and Technology, Universidade NOVA de Lisboa and CEMOP/UNINOVA, Campus de Caparica, Caparica 2829-516, Portugal.
| | - A Araújo
- INCM, Imprensa Nacional-Casa da Moeda, Av. António José de Almeida, 1000-042 Lisboa, Portugal.
| | - Filipe Silva
- INCM, Imprensa Nacional-Casa da Moeda, Av. António José de Almeida, 1000-042 Lisboa, Portugal.
| | - Patrícia Gaspar
- INCM, Imprensa Nacional-Casa da Moeda, Av. António José de Almeida, 1000-042 Lisboa, Portugal.
| | - Silvia Garcia
- INCM, Imprensa Nacional-Casa da Moeda, Av. António José de Almeida, 1000-042 Lisboa, Portugal.
| | | | - Elvira Fortunato
- i3N/CENIMAT, Department of Materials Science, Faculty of Sciences and Technology, Universidade NOVA de Lisboa and CEMOP/UNINOVA, Campus de Caparica, Caparica 2829-516, Portugal.
| | - Rodrigo Martins
- i3N/CENIMAT, Department of Materials Science, Faculty of Sciences and Technology, Universidade NOVA de Lisboa and CEMOP/UNINOVA, Campus de Caparica, Caparica 2829-516, Portugal.
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Rocha M, Fortuna A, Castro A, Araújo A. Hepatocellular carcinoma (HCC) treated with sorafenib (SFB) and hepatitis C virus (HCV) infection. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy047.086] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Araújo A. COPD: A controversial disease? Rev Port Pneumol (2006) 2017; 23:173-174. [PMID: 27184611 DOI: 10.1016/j.rppnen.2016.03.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2016] [Accepted: 03/04/2016] [Indexed: 06/05/2023] Open
Affiliation(s)
- A Araújo
- Respiratory Department, H. Sª Oliveira, Guimarães, Portugal.
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Martins M, Pereira A, Soares M, Amaral A, Madeira N, Araújo A, Macedo A. Confirmatory Factor Analysis of a Portuguese Short Version of the Cognitive Emotional Regulation Scale. Eur Psychiatry 2017. [DOI: 10.1016/j.eurpsy.2017.01.1534] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
IntroductionThe cognitive emotions regulation questionnaire (CERQ) is a 36-item questionnaire to measures specific cognitive emotion regulation strategies used in response to the experience of threatening or stressful life events. The Portuguese version of CERQ proved to be a reliable and valid measure to evaluate eight dimensions: Positive reappraisal and planning, positive refocusing, rumination, blaming others, putting into perspective and self-blame.ObjectiveTo confirm the dimensional structure of a Portuguese short version of the CERQ using Confirmatory Factor Analysis (CFA).MethodItems selection was based on the previous results of the exploratory factor analysis of the 36-items version. Items presenting the highest loading (≥ 70) in their respective factor were selected. A preliminary short version composed of 22 items were answered by a sample of 480 university students (81.9% females), with a mean age of 19.49 years (SD = 2.047; range = 17–30). CFA (using Mplus software) was used to test if the eight dimensions’ model suggested by prior exploratory factor analyses fitted the data.ResultsThe eight dimensions’ model has a good fit (χ2 = 424.015, P < .01; RMSEA = 0.056, 90%CI = 0.049–0.063; CFI = 0.930; TLI = 0.910; SRMR = 0.051). Although composed of fewer numbers of items, all subscales presented good reliability (Cronbach alpha< 70).ConclusionsThe CERQ-22 is a reliable and valid measure to evaluate cognitive emotion regulation strategies in young adults. Being a shorter version it is particularly useful for multivariate and prospective studies. In the near future we will test this structure in a clinical sample.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Albuquerque G, Moreira P, Rosário R, Araújo A, Teixeira VH, Lopes O, Moreira A, Padrão P. Adherence to the Mediterranean diet in children: Is it associated with economic cost? Porto Biomed J 2017; 2:115-119. [PMID: 32258600 DOI: 10.1016/j.pbj.2017.01.009] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2016] [Accepted: 01/23/2017] [Indexed: 11/29/2022] Open
Abstract
Highlights The average diet cost was 4.58€ (SD = 1.24) in 6-12 years-old children.Diet cost calculations were based on food prices information from 2011.Most children reported medium (69.1%) or high (4.6%) adherence to Mediterranean diet.Higher adherence to Mediterranean diet was associated with higher diet cost. Objective To assess how the diet cost is associated with socio-demographic factors and adherence to Mediterranean diet in children. Methods Data were obtained from a community-based survey of children selected from public elementary schools in Portugal. Of a total of 586 children attending these schools, 464 (6-12 years), were studied. Dietary intake was assessed by a 24 hour recall and the adherence to Mediterranean diet was evaluated through the KIDMED index. The cost of the diet was calculated based on the collection of food prices of a national leader supermarket, and expressed as Total Daily Cost (TDC) and Total Daily Cost-Adjusted for Energy (TDEC). Anthropometric measures were taken and socio-demographic data were gathered from a questionnaire filled by parents. Logistic regression was used to quantify the association between diet cost, socio-demographics and adherence to Mediterranean diet. Results The average TDC was 4.58€ (SD = 1.24). Most children (69.1%) reported medium adherence to Mediterranean diet, and 4.6% rated the higher score. TDC was higher for children with highest adherence to Mediterranean diet, compared to those with lowest adherence [TDC: OR = 5.70 (95% CI 1.53, 21.33), p for trend = 0.001; TDEC: OR = 2.83 (95% CI 0.89, 8.96, p for trend 0.018)]. No meaningful variation in the diet cost with age and parental education was observed. Conclusion Higher adherence to Mediterranean diet was associated with higher diet cost in children.
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Affiliation(s)
- G Albuquerque
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal
| | - P Moreira
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal.,Research Centre in Physical Activity, Health and Leisure, University of Porto, Porto, Portugal.,EPI Unit - Institute of Public Health, University of Porto, Porto, Portugal
| | - R Rosário
- Education School, Child Study Centre, University of Minho, Braga, Portugal.,Nursing School, University of Minho Braga, Portugal
| | - A Araújo
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal
| | - V H Teixeira
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal.,Research Centre in Physical Activity, Health and Leisure, University of Porto, Porto, Portugal
| | - O Lopes
- Erdal Association, Guimarães, Portugal
| | - A Moreira
- Department of Immunology, Faculty of Medicine, University of Porto, Porto, Portugal.,Department of Immunoallergology, Hospital of São João, Porto, Portugal
| | - P Padrão
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal.,EPI Unit - Institute of Public Health, University of Porto, Porto, Portugal
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Araújo A. COPD: From the stethoscope to the spirometer. Rev Port Pneumol (2006) 2017; 23:52-53. [PMID: 27080084 DOI: 10.1016/j.rppnen.2016.02.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2015] [Revised: 02/25/2016] [Accepted: 02/26/2016] [Indexed: 10/22/2022] Open
Affiliation(s)
- A Araújo
- Respiratory Department, H. Sª Oliveira, Guimarães, Portugal.
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Santos Carvalho A, Fontes A, Santos N, Araújo A, Guedes P, Cavadas C, Carvalho F, Ferreira S. 5F-PB-22 and XLR-11, two consumed synthetic cannabinoids, present a distinct toxicity profile in neuronal, hepatic and cardiac cells. Toxicol Lett 2016. [DOI: 10.1016/j.toxlet.2016.06.1507] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Sidiropoulou Z, Vasconcelos A, Cristiana C, Santos C, Araújo A, Santos C, Alegre I, Costa F, Sousa M, Henriques V, Pereira V, Neves C, Cardoso F, Gascón P. 220. Silent breast cancer: Study of the disease prevalence held by image-guided biopsies on autopsy specimens (Sisyphus study). Eur J Surg Oncol 2016. [DOI: 10.1016/j.ejso.2016.06.153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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Araújo A. COPD: Are we using all the tools we have? Rev Port Pneumol (2006) 2016; 22:184. [PMID: 26614449 DOI: 10.1016/j.rppnen.2015.10.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2015] [Revised: 10/02/2015] [Accepted: 10/11/2015] [Indexed: 06/05/2023] Open
Affiliation(s)
- A Araújo
- Respiratory Department, CHAA, Guimarães, Portugal.
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Affiliation(s)
- A Araújo
- Respiratory Department, H. Sª Oliveira, Guimarães, Portugal.
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Rosário R, Araújo A, Padrão P, Lopes O, Moreira A, Abreu S, Vale S, Pereira B, Moreira P. Impact of a school-based intervention to promote fruit intake: a cluster randomized controlled trial. Public Health 2016; 136:94-100. [PMID: 27101881 DOI: 10.1016/j.puhe.2016.03.013] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2015] [Revised: 01/23/2016] [Accepted: 03/09/2016] [Indexed: 11/28/2022]
Abstract
OBJECTIVE There is evidence that fruit consumption among school children is below the recommended levels. This study aims to examine the effects of a dietary education intervention program me, held by teachers previously trained in nutrition, on the consumption of fruit as a dessert at lunch and dinner, among children 6-12 years old. STUDY DESIGN This is a randomized trial with the schools as the unit of randomisation. METHODS A total of 464 children (239 female, 6-12years) from seven elementary schools participated in this cluster randomized controlled trial. Three schools were allocated to the intervention and four to the control group. For the intervention schools, we delivered professional development training to school teachers (12 sessions of 3 h each). The training provided information about nutrition, healthy eating, the importance of drinking water and healthy cooking activities. After each session, teachers were encouraged to develop classroom activities focused on the learned topics. Sociodemographic was assessed at baseline and anthropometric, dietary intake and physical activity assessments were performed at baseline and at the end of the intervention. Dietary intake was evaluated by a 24-h dietary recall and fruit consumption as a dessert was gathered at lunch and dinner. RESULTS Intervened children reported a significant higher intake in the consumption of fruit compared to the controlled children at lunch (P = 0.001) and at dinner (P = 0.012), after adjusting for confounders. CONCLUSIONS Our study provides further support for the success of intervention programmes aimed at improving the consumption of fruit as a dessert in children.
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Affiliation(s)
- R Rosário
- University of Minho, School of Nursing, Largo do Paço, 4704-553 Braga, Portugal; University of Minho, School of Education, Research Centre in Child Studies, Campus de Gualtar, 4710-057 Braga, Portugal.
| | - A Araújo
- University of Porto, Faculty of Nutrition and Food Sciences, Rua Roberto Frias, 4200-465 Porto, Portugal.
| | - P Padrão
- University of Porto, Faculty of Nutrition and Food Sciences, Rua Roberto Frias, 4200-465 Porto, Portugal.
| | - O Lopes
- Erdal Association, Guimarães, Portugal.
| | - A Moreira
- University of Porto, Faculty of Medicine, Al. Prof. Hernâni Monteiro, 4200 - 319 Porto, Portugal.
| | - S Abreu
- University of Porto, Research Centre in Physical Activity, Health and Leisure, Rua Dr. Plácido Costa, 91, 4200-450 Porto, Portugal.
| | - S Vale
- University of Porto, Research Centre in Physical Activity, Health and Leisure, Rua Dr. Plácido Costa, 91, 4200-450 Porto, Portugal.
| | - B Pereira
- University of Minho, School of Education, Research Centre in Child Studies, Campus de Gualtar, 4710-057 Braga, Portugal.
| | - P Moreira
- University of Porto, Faculty of Nutrition and Food Sciences, Rua Roberto Frias, 4200-465 Porto, Portugal; University of Porto, Research Centre in Physical Activity, Health and Leisure, Rua Dr. Plácido Costa, 91, 4200-450 Porto, Portugal.
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Soares M, Pereira A, Araújo A, Silva D, Amaral A, Valente J, Madeira N, Bajouco M, Macedo A. The F-Multidimensional Perfectionism Scale-18 (FMSP-18): Internal consistency, construct, concurrent and divergent validity. Eur Psychiatry 2016. [DOI: 10.1016/j.eurpsy.2016.01.770] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
Abstract
IntroductionThe FMPS is a 35-item self-report questionnaire to measure perfectionism. It evaluates: concern over mistakes/CM, doubts about actions/DA, parental criticism/PC and expectations/PE, personal standards/PS and organization/O.ObjectivesTo develop a shortened version of FMPS and study its internal consistency, the construct, concurrent and divergent validity.MethodsOne hundred and ninety-two university students (78.1% females), aged 19.74 years (sd = 2.10) completed the Portuguese versions of the: FMPS, Hewitt and Flett MPS/H&FMPS, Life Orientation Test Revised/LOT-R, State-Trait Anxiety Inventory/STAI, and Profile of Mood States/POMS.ResultsCorrelations between each item and corrected FMPS total scores/corrected total subscales scores were ≥ 0.20 for the items 13, 15, 25, 31, 35 and 10, 2, 25, and 26, respectively. The internal consistency of FMPS was high (α: .857) with 32 items contributing for this consistency (exceptions: 13, 25 and 31). The principal component analysis of the 35 items with factors varimax rotation was performed. The three items with higher loading in each factor that also contributed to the FMPS reliability were selected for the FMPS shortened version (FMPS-18). The principal component analysis of the 18 items with factors varimax rotation showed that six factors explained 74.6% of FMPS-18 total variance. These factors revealed adequate internal consistency (α: O = 0.740; PC = 0.859; PE = 0.847; PS = 0.726; CM = 0.740; DA = 0.832; total = 0.768). Convergent correlations between FMPS and the matched FMPS-18 scores were 0.839 to 0.971 (all P < .01). Correlations of the FMPS-18 and FMPS with H&F-MPS, STAI, LOT-R and NA/PA scores were of similar significance and valence.ConclusionFMPS-18 is a brief, reliable and valid instrument to measure perfectionism.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Neto Real AM, Araújo A, Coelho I, Lopes N, Lima Pereiro T, Abu-Hazim M, Pessoa L, Catorze N. Mortality in an ICU of a tertiary hospital. Intensive Care Med Exp 2015. [PMCID: PMC4798064 DOI: 10.1186/2197-425x-3-s1-a338] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Araújo A. COPD: Evidence-based medicine or the patient-centered medicine? Rev Port Pneumol (2006) 2015; 22:128-9. [PMID: 26612540 DOI: 10.1016/j.rppnen.2015.08.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2015] [Revised: 08/10/2015] [Accepted: 08/16/2015] [Indexed: 11/19/2022] Open
Affiliation(s)
- A Araújo
- Respiratory Department, CHAA, Guimarães, Portugal.
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Nôga DAMF, Cagni FC, Santos JR, Silva D, Azevedo DLO, Araújo A, Silva RH, Ribeiro AM. Pro- and Anticonvulsant Effects of the Ant Dinoponera quadriceps (Kempf) Venom in Mice. Neotrop Entomol 2015; 44:410-417. [PMID: 26045053 DOI: 10.1007/s13744-015-0292-7] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/25/2014] [Accepted: 03/18/2015] [Indexed: 06/04/2023]
Abstract
Epilepsy affects at least 50 million people worldwide, and the available treatment is associated with various side effects. Approximately 20-30% of the patients develop seizures that persist despite careful monitored treatment with antiepileptic drugs. Thus, there is a clear need for the development of new antiepileptic drugs, and the venoms can be an excellent source of probes. In this context, while there are studies on venoms from snakes, scorpions, and spiders, little is known regarding venom from ants. The aim of this study was to investigate the potential pro- and anticonvulsant effects of the venom from the ant Dinoponera quadriceps (Kempf) in Swiss mice. After the injection of the crude venom (DqTx-5, 50, and 500 mg/mL) in the lateral ventricle of mice, we observed a reduction of exploration and grooming behaviors, as well as an increase in immobility duration. In addition, the crude venom induced procursive behavior and tonic-clonic seizures at the highest concentration. Conversely, the preadministration of the denatured venom (AbDq) at the concentration of 2 mg/mL protected the animals against tonic-clonic seizures (66.7%) and death (100%) induced by administration of bicuculline. Taken together, the findings demonstrate that D. quadriceps venom might be potential source of new pro- and anticonvulsants molecules.
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Affiliation(s)
- D A M F Nôga
- Depto de Fisiologia, Univ Federal do Rio Grande do Norte, Natal, RN, Brasil
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Araújo A, Xiaogang W, Tente D, Figueiredo M. Unusual cause of haemoptysis: Inflammatory myofibroblastic tumour of the lung. Rev Port Pneumol (2006) 2015; 21:S2173-5115(15)00120-7. [PMID: 26187734 DOI: 10.1016/j.rppnen.2015.06.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2015] [Revised: 05/04/2015] [Accepted: 06/08/2015] [Indexed: 06/04/2023] Open
Affiliation(s)
- A Araújo
- Respiratory Department, CHAA, Guimarães, Portugal.
| | - W Xiaogang
- Anatomy Department, CHVNG/E, Gaia, Portugal
| | - D Tente
- Anatomy Department, CHVNG/E, Gaia, Portugal
| | - M Figueiredo
- Respiratory Department, CHAA, Guimarães, Portugal
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Parente B, Teixeira M, Queiroga H, Fernandes A, Araújo A, Almodovar M, Mellidez J, Barata F. Quality of Life (Qol) Evaluation in Portuguese Lung Cancer Patients Receiving Chemotherapy-Associated Antiemetic Prophylaxis - Santarém Study. Ann Oncol 2014. [DOI: 10.1093/annonc/mdu348.11] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Medeiros J, Araújo A. Workers' Extra-Nest Behavioral Changes During Colony Fission in Dinoponera quadriceps (Santschi). Neotrop Entomol 2014; 43:115-121. [PMID: 27193517 DOI: 10.1007/s13744-013-0193-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/26/2013] [Accepted: 12/19/2013] [Indexed: 06/05/2023]
Abstract
Ant colonies can reproduce by two strategies: independent foundation, wherein the queen starts a new colony alone, and dependent foundation, in which workers assist the queen. In the queenless species Dinoponera quadriceps (Santschi), the colony reproduces obligatorily by fission, a type of dependent foundation, but this process is not well understood. This study describes a colony fission event of D. quadriceps in the field and analyzes the influence of the fission process on workers' extra-nest behavior. Based on observations of workers outside the nest, five distinct stages were identified: monodomic stage, polydomic stage, split stage, conflict stage, and post-conflict stage. The colony was initially monodomic and then occupied a second nest before it split into two independent colonies, indicating a gradual and opportunistic dependent foundation. After the fission event, the daughter colony had aggressive conflicts with the parental colony, resulting in the latter's disappearance. Colony fission affected workers' extra-nest behavior by increasing the frequency of rubbing the gaster against the substrate (which probably has a chemical marking function) and by decreasing the frequency of foraging during the split stage. After the fission event, the number of foragers was halved and foragers remained nearer to the nest during extra-nest activity. The spatial closeness of the parental and daughter colonies led to competition that caused the extinction or migration of the parental colony. Intraspecific competition was indicated by foraging directionality at the colony level, whereby areas of neighbor colonies were avoided; this directionality was stronger while both colonies coexisted.
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Affiliation(s)
- J Medeiros
- Depto de Fisiologia, PPG em Psicobiologia, Lab de Biologia Comportamental, Univ Federal do Rio Grande do Norte, Natal, RN, Brasil
| | - A Araújo
- Depto de Fisiologia, PPG em Psicobiologia, Lab de Biologia Comportamental, Univ Federal do Rio Grande do Norte, Natal, RN, Brasil.
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48
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Caetano LC, Gennaro FGO, Coelho K, Araújo FM, Vila RA, Araújo A, de Melo Bernardo A, Marcondes CR, Chuva de Sousa Lopes SM, Ramos ES. Differential expression of the MHM region and of sex-determining-related genes during gonadal development in chicken embryos. Genet Mol Res 2014; 13:838-49. [PMID: 24615048 DOI: 10.4238/2014.february.13.2] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
The chicken (Gallus gallus) embryo has been used as a classic model system for developmental studies because of its easy accessibility for surgical manipulation during embryonic development. Sex determination in birds is chromosomally based (ZZ for males and ZW for females); however, the basic mechanism of sex determination is still unknown. Here, the dynamics of expression of candidate genes implicated in vertebrate sex determination and differentiation were studied during embryonic chicken gonadal development. Gene expression profiles were obtained before, during, and after gonadal sex differentiation in females and males for DMRT1, SOX3, SOX9, DAX1, SCII, HINTZ, HINTW, and the male hypermethylated (MHM) region. Transcripts for the HINTZ, DMRT1, DAX1, SCII, and SOX9 genes were observed in both sexes, but expression was higher in male gonads and may be correlated with testicular differentiation. The expression patterns of HINTW, SOX3, and MHM suggest that they may act in ovary development and may be involved in meiosis entry. MHM was upregulated and DMRT1 was downregulated in females at the same developmental stage. This may indicate a regulation of DMRT1 by MHM ncRNA. Similar dynamics were observed between HINTW and HINTZ. This study reports on the MHM expression profile during gonadal development and its correlation with the expression of genes involved in vertebrate sex determination.
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Affiliation(s)
- L C Caetano
- Departamento de Genética, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil
| | - F G O Gennaro
- Departamento de Genética, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil
| | - K Coelho
- Departamento de Genética, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil
| | - F M Araújo
- Departamento de Ginecologia e Obstetrícia, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil
| | - R A Vila
- Departamento de Genética, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil
| | - A Araújo
- Departamento de Genética, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil
| | - A de Melo Bernardo
- Department of Anatomy and Embryology, Leiden University Medical Center, Leiden, The Netherlands
| | | | | | - E S Ramos
- Departamento de Genética, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil
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Araújo A, Oliveira M, Oliveira R, Botelho G, Machado AV. Biodegradation assessment of PLA and its nanocomposites. Environ Sci Pollut Res Int 2013; 21:9477-9486. [PMID: 24222440 DOI: 10.1007/s11356-013-2256-y] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/29/2013] [Accepted: 10/15/2013] [Indexed: 06/02/2023]
Abstract
Poly(lactic acid) nanocomposites containing Cloisite 15A, Cloisite 30B, and Dellite 43B were prepared by melt-mixing in a batch mixer and were exposed to UV radiation, temperature, and microorganism in solution and in a compost. Exposed samples, collected along the time, were characterized by several techniques. While the addition of organoclays had a positive effect on thermal stability, the degradation rate of nanocomposites increased when exposed to UV radiation and microorganism. Moreover, the degradation rate depends on the organoclay type. Even though the degradation rate is higher for nanocomposites, Fourier transform infrared spectrometry and gel permeation chromatography results demonstrated that the degradation mechanism is the same.
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Affiliation(s)
- A Araújo
- IPC-Institute for Polymers and Composites/I3N, University of Minho, Campus de Azurém, 4800-058, Guimarães, Portugal
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Gaspar D, Pimentel AC, Mateus T, Leitão JP, Soares J, Falcão BP, Araújo A, Vicente A, Filonovich SA, Aguas H, Martins R, Ferreira I. Influence of the layer thickness in plasmonic gold nanoparticles produced by thermal evaporation. Sci Rep 2013; 3:1469. [PMID: 23552055 PMCID: PMC3615571 DOI: 10.1038/srep01469] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2012] [Accepted: 02/06/2013] [Indexed: 11/14/2022] Open
Abstract
Metallic nanoparticles (NPs) have received recently considerable interest of photonic and photovoltaic communities. In this work, we report the optoelectronic properties of gold NPs (Au-NPs) obtained by depositing very thin gold layers on glass substrates through thermal evaporation electron-beam assisted process. The effect of mass thickness of the layer was evaluated. The polycrystalline Au-NPs, with grain sizes of 14 and 19 nm tend to be elongated in one direction as the mass thickness increase. A 2 nm layer deposited at 250°C led to the formation of Au-NPs with 10-20 nm average size, obtained by SEM images, while for a 5 nm layer the wide size elongates from 25 to 150 nm with a mean at 75 nm. In the near infrared region was observed an absorption enhancement of amorphous silicon films deposited onto the Au-NPs layers with a corresponding increase in the PL peak for the same wavelength region.
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Affiliation(s)
- D Gaspar
- CENIMAT/I3N, Departamento de Ciência dos Materiais and CEMOP/UNINOVA, Faculdade de Ciências e Tecnologia, Universidade Nova de Lisboa, Caparica, Portugal
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